The subject to be investigated was seated in a certified chair (REAL 9100 EL, Mercado Medic AB, Sweden).
Sensorimotor plasticity in stroke patients with dysphagia A methodological study on investigation and treatment Mary Hägg Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Uppsala, Sweden Dissertation for the degree of Doctor of Philosophy (Faculty of Medicine), presented at Uppsala University and to be publicly exam...
... A causa mais comum de disfagia e aspiração é o AVC, podendo ocorrer em cerca de um terço dos doentes (Marques, André e Rosso, 2008), sendo mais evidente nos primeiros dias após o AVC, independentemente do hemisfério afetado (Ropper e Brown, 2005). Contudo, a incidência temporal dos sintomas varia, dependendo do início da avaliação pós-AVC e do meio de diagnóstico utilizado (Hägg, 2007). A literatura sugere que a incidência de disfagia pode variar entre 22% e 65%, variando conforme os métodos de avaliação utilizados, e pode persistir durante muitos meses ou ressurgir no contexto de comorbilidades futuras (Ramsey, Smithard e Kalra, 2003). ...
In Portugal, stroke is considered the leading cause of death and disability associated with cognitive and motor sequelae. The incidence of dysphagia ranges from 22% to 65% of patients (Ramsey, Smithard and Kalra, 2003). Several studies reveal that 30 to 40% of institutionalized elderly people have swallowing disorders, which results in a high incidence of complications due to aspiration (World Gastroenterology Organization, 2004). Based on these assumptions, a systematic review was performed to minimize the risk of ad hoc evaluation and by identifying the available low cost and easy access resources in order to enhance health gains. The methodology was guided by Cochrane Handbook and was designed to answer the following question: What methods of non-invasive evaluation of dysphagia in people with neurological disease with demonstrated validity and reliability are published? Therefore we conducted a search for primary studies, published since 2005, in the most relevant computerized databases. From that search, we identified two studies with the results of the application of two distinct scales used in the diagnosis of dysphagia in stroke survivors (in acute and / or rehabilitation), one of which also assessed the risk of aspiration. The results may predict high gains in health with the application of these scales, although further studies are needed to obtain a substantial sample.